MS. KELLY EGAN WEAVER (NPI# 1477915098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477915098 |
| Entity Type | Individual |
| Full Name | MS. KELLY EGAN WEAVER |
| Credential | PA-C |
| Practice Address |
1201 Broad Rock Blvd Richmond Va 23224 Richmond VA 23249-4915 |
| Practice Telephone | 8046755000 |
| Mailing Telephone | 8046755000 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110005235 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1235657552 | Kelly Anne Weaver | Nurse Practitioner | 1012 N Mills Ave, Arcadia, FL 34266-8811 | 2017-09-07 |
| 1295101384 | Kelly Weaver | Physical Therapist | 892 Oak Knoll Dr, Perrysburg, OH 43551-2910 | 2015-08-12 |
| 1316232234 | Kelly Weaver | Speech-Language Pathologist | 709 Goodrich Ct, Platteville, CO 80651-7586 | 2011-06-20 |
| 1164713186 | Kelly M Weaver | Licensed Practical Nurse | 17915 Wildcat Rd, Danville, OH 43014-9560 | 2011-04-25 |
| 1821115015 | Kelly Ann Weaver | Registered Nurse | 13660 Jog Road Suite 2, Delray Beach, FL 33446-3806 | 2007-03-23 |
| 1275575334 | Kelly M Weaver | Psychologist | 3011 Bethel Rd Ste 100, Columbus, OH 43220-6104 | 2006-06-12 |
| 1528684750 | Kelly Weaver | Pharmacist | 125 Hall Rd, Seagoville, TX 75159-2915 | 2020-06-23 |
| 1609429695 | Kelly L Weaver | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-07-19 |
| 1316440381 | Kelly Brook Weaver | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-03-15 |
| Street Address |
1201 BROAD ROCK BLVD RICHMOND VA 23224 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| Find all providers in zip 23249 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515162 | Mnhisey, LLC | Physician Assistant | 19302 Palace Way Ct, Richmond, TX 77407-5584 | 2019-03-01 |
| 1861944217 | Independent First Assistant, LLC. | Physician Assistant | 23203 S Waterlake Dr, Richmond, TX 77406-7667 | 2016-11-02 |
| 1063857480 | Lc Surgical Assistants LLC | Physician Assistant | 1112 Yorktown St, Richmond, TX 77469-1639 | 2013-04-30 |
| 1275891160 | Chloe Elisa Trevino | Physician Assistant | 2009 Long Dr, Richmond, TX 77469-4923 | 2012-04-27 |
| 1356614663 | Shalonda Michelle Cormier | Physician Assistant | 18623 Anderwood Forest Dr, Richmond, TX 77407-2305 | 2012-02-16 |
| 1972829463 | Selena Brown | Physician Assistant | 9711 S Mason Rd Ste. 125, #311, Richmond, TX 77407 | 2010-04-09 |
| 1437161502 | Louis (trey) C Trosclair IIi | Physician Assistant | 11330 Sandhaven Dr, Richmond, TX 77407-4508 | 2006-08-13 |
| 1669420048 | Surgical Assist,l.l.c. | Physician Assistant | 3913 Morton Dr, Richmond, VA 23223-1287 | 2006-05-05 |
| 1457327637 | Rozita Z Reyes | Physician Assistant | 7001 Forest Ave Ste 400, Richmond, VA 23230-1726 | 2006-02-27 |
| 1912554270 | Hayley Elizabeth Fisher | Physician Assistant | 7101 Jahnke Rd, Richmond, VA 23225-4044 | 2019-08-21 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.